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STS/ACC TVT v3 Education
Sequence# 12903 - 12905 Condition and Procedure Hi ...
Sequence# 12903 - 12905 Condition and Procedure History (Video 1:42)
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Video Transcription
The Condition History, Sequence 12903, takes the place of individual data elements for past medical conditions and risk factors. The Condition History list will enable coding of many past medical conditions. Definitions of patient conditions have been provided in the Data Dictionary where further explanation is necessary. Not every condition in the Condition History list will need abstracted for every procedure. As an example, cardiomyopathy is not captured in the TAVR pathway, however, it is captured in both of the mitral pathways and the tricuspid pathway. Lastly, please pay close attention when abstracting in the Data Collection Tool, as coding Yes for certain data elements will require further coding of child fields, which we will demonstrate on the next slide. When Yes is coded for cardiomyopathy, the user must then indicate the type or types of cardiomyopathy in Sequence 4570, Cardiomyopathy Type. Users can now select all that apply as stated in the Notes section of the coding instructions in the Data Dictionary. Similar to the Condition History, the Procedure History, Sequence 12905, is a list with a number of procedures to use in coding the patient's past procedural history. Definitions have been provided in the Data Dictionary where further explanation is necessary. For some data elements, a date for the past procedure is asked to be provided.
Video Summary
The video discusses two important elements in coding patient medical history: Condition History and Procedure History. The Condition History replaces individual data elements for past medical conditions and allows coding for various conditions. However, not all conditions need to be abstracted for every procedure. For example, cardiomyopathy is captured in certain pathways but not in others. When coding "Yes" for cardiomyopathy, additional coding is required in Sequence 4570 to indicate the type of cardiomyopathy. Similarly, the Procedure History provides a list of past procedures for coding the patient's procedural history, with some elements requiring a date for the past procedure.
Keywords
coding
patient medical history
Condition History
Procedure History
cardiomyopathy
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